Ashlee Ryan

Individual provider Active NPI Speech-Language Pathologist · Westphalia, MO

NPI 1902223910 · NPPES record last updated Mar 27, 2014

Key facts

NPI
1902223910
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2014008847 (MO)
Practice address
143 E Main St.
Westphalia, MO 65085
Phone
(573) 455-2375
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2014008847MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osage County Reorganized School District Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2014008847 MO Yes

Addresses

Primary practice location

143 E Main St.
Westphalia, MO 65085

Mailing address

PO Box 37
Westphalia, MO 65085-0037

Other providers in Westphalia, MO

All providers in Westphalia, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.